"Idiosyncratic infection" accompanied by fever, splenomegaly, and acute renal failure in a 24-year-old forestry student
2003 | journal article. A publication with affiliation to the University of Göttingen.
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"Idiosyncratic infection" accompanied by fever, splenomegaly, and acute renal failure in a 24-year-old forestry student
Strutz, F. M.; Scheel, A.; Koziolek, M. J.; Kochsiek, T.; Eiffert, H. & Mueller, G. A. (2003)
Der Internist, 44(12) pp. 1575-1578. DOI: https://doi.org/10.1007/s00108-003-1090-6
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Details
- Authors
- Strutz, Frank M.; Scheel, A.; Koziolek, Michael Johann; Kochsiek, T.; Eiffert, Helmut; Mueller, Gerhard A.
- Abstract
- When confronted by the combination of initial high fever associated with intense malaise, splenomegaly, elevated levels of transaminases, and acute renal failure, consideration must be given to the differential diagnosis of leptospirosis even in Germany. As a rule, the diagnosis is confirmed by serological testing based on the titer curve. Renal involvement is frequent, but usually has a good prognosis, especially if jaundice has not developed. Treatment with doxycycline or penicillin can shorten the disease course and exudation, possibly also the nephritis, or hinder it.
- Issue Date
- 2003
- Status
- published
- Publisher
- Springer
- Journal
- Der Internist
- ISSN
- 0020-9554
